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1134681133
SAMUEL WASHINGTON
KINGSTON, NY
NPI
1134681133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
SAMUEL WASHINGTON
139 CORNELL ST
KINGSTON, NY 12401-3633
Phone number: 845-338-1234
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Mailing Address
SAMUEL WASHINGTON
1 HOMESTEAD CT
WALDEN, NY 12586-3414
Phone number:
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